| NPI | 1225182215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT CHARLES HOWARD Owner 301-724-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone (Licence: MD 903004) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MD MD-10100-M) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2023-09-14 |